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Tramaine Alan Jackson
Mental Health Counselor in San Pablo, California
NPI 1386181402

Tramaine Alan Jackson is a Mental Health Counselor based in San Pablo, CA and is specialized in Mental Health. Tramaine Alan Jackson practices in San Pablo, CA. The NPI Number for Tramaine Alan Jackson is 1386181402 and holds a License No. (California).

The current practice location address for Tramaine Alan Jackson is 2523 El Portal Dr, San Pablo, CA and can be reached out via phone at 510-418-7349 and via fax at 510-439-3129.

Location: 2523 El Portal Dr, San Pablo, CA, 94806-3305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386181402
Provider Name
Tramaine Alan Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
2523 El Portal Dr, San Pablo, CA, 94806-3305
Phone Number
510-418-7349
Fax Number
510-439-3129
Provider Enumeration Date
01/26/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1386181402 05 CA
institution
Provider Business Practice Location Address Details
Address
2523 El Portal Dr
City
San Pablo
State
California
Zip
94806-3305
Phone Number
510-418-7349
Fax Number
510-439-3129
person
Provider Business Mailing Address Details
Address
2523 El Portal Dr
City
San Pablo
State
California
Zip
94806-3305
Phone Number
510-418-7349
Fax Number
510-439-3129
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(California)
Definition
Definition to come...
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